Hernia of an esophageal opening of a diaphragm
Contents:
Description:
Hernia of an esophageal opening of a diaphragm is shift through an esophageal opening of a diaphragm in a postmediastinum of an abdominal organ.
At patients with hernia of this kind progressive deterioration in functions in the field of transition of a gullet to a stomach is observed, in that part where there is hernia. It occurs because in the presence of hernia a muscular part of a diaphragm which normal ensures normal functioning of the lower esophageal sphincter at the expense of external pressure is removed from it that leads to decrease in a tone of a sphincter.
On the other hand existence of hernia of an esophageal opening of a diaphragm contributes to development of a gastroesophageal reflux at which there is a throwing of acid from a stomach.
Hernia of an esophageal opening of a diaphragm
Symptoms of Gryzhy of an esophageal opening of a diaphragm:
* The stethalgias including pressing.
* Heartburn.
* Swallowing difficulty – a dysphagy.
* Cough.
* Eructation.
* Frequent attacks of a hiccups.
* Pain. It can be felt not only in a breast, but also in a stomach. Arises when the stomach is displaced in a chest cavity through a narrow esophageal opening of a diaphragm.
* Megalgias can be caused at development of a complication of the fixed hernia of an esophageal opening of a diaphragm when blood supply of that part of a stomach which is in a chest cavity (the restrained hernia of an esophageal opening of a diaphragm) is broken.
Reasons of Gryzhy of an esophageal opening of a diaphragm:
The reasons and the contributing factors:
* Obesity.
* Wrong bearing, stoop.
* Persistent cough.
* A lock (that causes increase in intra belly pressure at a natuzhivaniye during the act of defecation).
* Genetic predisposition.
* Smoking.
* Inborn defects of development.
Treatment of Gryzhy of an esophageal opening of a diaphragm:
At the uncomplicated sliding hernias of an esophageal opening of a diaphragm carry out conservative treatment which is directed to decrease in a gastroesophagal reflux reduction of the phenomena of an esophagitis, the prevention of increase in intra belly pressure (change of a way of life, the mode and food allowance, purpose of the drugs reducing acidity).
At paraezofagealny hernias, and also at inefficiency of conservative treatment of the sliding hernias with preservation of the symptomatology reducing quality of life, surgical treatment is shown to patients. Operation consists in bringing down of abdominal organs of a mediastinum, sewing together of edges of an esophageal opening of a diaphragm (krurorafiya) behind a gullet and fundoplication. Results of operational treatment good.
